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Pharmacokinetic Profile of Topiramate in Comparison with Other New Antiepileptic Drugs
Authors:Emilio Perucca
Institution:Clinical Pharmacology Unit, Division of Pharmacology and Toxicology, Department of Medicine and Therapeutics, University of Pavia, Pavia, Italy
Abstract:Summary: Antiepileptic drugs (AEDs) in broad use today have a number of pharmacokinetic liabilities, including a propensity for clinically meaningful drug interactions. Therefore, new AEDs with improved pharmacokinetic characteristics would be welcomed. The pharmacokinetic proftles of six newer AEDs—topiramate (TPM), gaba-pentin (GBP), vigabatrin (VGB), lamotrigine (LTG), ox-carbazepine (OCBZ), and felbamate—were reviewed. Some of these AEDs offer an improvement in one or more pharmacokinetic parameters compared with traditional AEDs, with TPM, GBP, VGB, and OCBZ demonstrating the most advantageous overall pharmacokinetic profiles.
Keywords:Epilepsy  Anticonvulsants  Pharmacokinetics  Interactions  Topiramate  Seizures  Adverse events
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